| NPI | 1346806023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LYNN ODUEKE Director Of Revenue Cycle 970-639-3852 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2025-06-12 |